Job summary
Thecommunity Rapid Response Team is a well-established admission avoidance servicewhich is part of the 2-hour urgent community response (UCR) service.
Weare looking to recruit an enthusiastic and motivated nurse, paramedic or physiotherapistto work in the Rapid Response team based at Hollyfield Road, Surbiton
The serviceprovides a 2-hour response to adults who are experiencing a health crisis and requireassessment and intervention to support them in their own home, rather thanbeing admitted to hospital. The role also involves working collaboratively withmultidisciplinary professionals to manage complex health and social care needs.
Main duties of the job
Thisis an exciting opportunity to enhance and develop a wide range of skillsincluding physical assessment and clinical decision-making in a communitysetting.
Theideal candidate should be able to plan and prioritise their own workload, beconfident in independent decision making, with an awareness or experience ofphysical assessment.
Theposition would suit an experienced clinician who is looking to develop skillsin advanced clinical and autonomous practice. Appropriate training, developmentand support will be provided.
About us
Welcome to Your Healthcare CIC, we area not for profit social enterprise, proud of delivering patient-led, highquality health and social care community services for residents in the Boroughof Kingston, as part of the NHS family.
Your Healthcare is located in the SouthWest of London within the Royal Borough of Kingston. Working as a CommunityInterest Company (CIC), our status allows us to invest any surplus or profitback into front line services, where it is needed most by you, our community
Job description
Job responsibilities
2. Job Purpose
1. To respond to urgent community referrals within 2 hours to those adults who are experiencing a sudden deterioration in health or well- being and require crisis intervention to prevent an unnecessary hospital admission
2. To complete a comprehensive holistic assessment and formulate a management plan
3. To develop skills in autonomous practice including physical assessment, clinical reasoning and differential diagnosis
4. To work collaboratively with urgent community response (UCR) therapists and multidisciplinary teams in the management of complex health and social care issues
5. To provide supervision and support to students and junior staff as appropriate
To contribute to the rapid response/UCR service delivery ensuring a responsive, high quality and effective service
6. To record accurate legible health records
4. Key Result Areas
7. Clinical
8. To visit patients in their home and perform a comprehensive assessment
9. To assess and triage referrals to ensure they meet the criteria for Rapid Response/UCR intervention
10. To formulate comprehensive and concordant plan of care with the patient and/or their carers, promoting choice and empowerment of the patient
11. To review patients response to treatment and make reasonable adjustments following discussions with senior members of the rapid response team
12. To understand the implications of clinical diagnosis in order to provide appropriate health promotion advice to patients and/or carers
13. To develop and implement physical assessment and clinical decision-making skills, to enable patientswho are acutely unwellor in a crisisto stay at home, avoiding unnecessary hospital admission
14. To develop skills in formulating differential diagnosis and treatment plans through training and collaborative working with Senior Rapid Response Practitioners
To provide/facilitate a range of appropriate care at home including but not limited to acute respiratory exacerbations, urinary tract infections, acute infections, acute confusion, pain management, gastrointestinal disturbances and management as required
15. To utilise clinical skills to identify the deteriorating patient who may require hospital admission for further intervention
16. To carry out a range of clinical procedures such as, but not limited to, venepuncture, bowel management, nebuliser therapy, intravenous therapy and wound management
Service Delivery
To contribute to the day to day delivery of the rapid response team including appropriate delegation and organisation of workload within the team
To accurately record activity data and contribute to meeting the teams key performance indicators.
To contribute to the delivery of the rapid response/urgent community response service
To participate and contribute to team meetings
To supervise junior staff/students where appropriate
To practice within the framework provided by the YHC Policies, Procedures and Guidelines and those laid down by professional regulatory body
Management
To respond to the delegation of duties by the Team Leads
To participate in the recruitment and induction of new staff as delegated by the Team Leads
To plan, coordinate and contribute to the induction, training and education of staff.
To teach, mentor and assess pre and post registration nursing and allied health professional students
To provide advice and support to YH community and allied health professionals as appropriate
Quality
To accept professional responsibility for own work and work delegated to others
To practice within the professional bodys code of conduct at all times
To be up to date with current practices and procedures and promote evidence-based practice
To participate in the supervision and appraisal process and ensure the development and maintenance of a personal development plan which contributes to team and organisational objectives
To provide fair and equitable opportunities for all staff promoting a culture of equality, diversity and inclusivity
To demonstrate understanding of clinical governance and risk management
To promote and practice within the CQC quality framework
To actively participate in audit and standard setting
To support the evaluation of the effectiveness of care within the team
To contribute to policy development and changes in practice including those that may impact on other areas
To keep up to date with current research and national guidelines to recommend changes to service delivery and/or clinical practice
Person Specification
Qualifications
Essential
17. Registered General Nurse, Paramedic or Physiotherapist
18. Evidence of post-registration continuing professional development
19. Willingness to undertake relevant training for the role including clinical reasoning & physical assessment modules
Desirable
20. Clinical reasoning/ physical assessment module/s
21. Non-Medical Prescriber
22. Mentorship qualification / Practice Assessor
Skills and abilities
Essential
23. Demonstrates ability to communicate effectively with service-users and a range of health and social care professionals
24. Demonstrates ability to assess patients with complex needs and formulate an individualised management plan
25. Demonstrates application of evidence-based practice
26. Demonstrates ability to prioritise workloads and manage time effectively
27. Demonstrates ability to maintain accurate and legible
28. clinical records
Desirable
29. Physical assessment and clinical decision-making skills
Personal qualities
Essential
30. Ability to remain calm and professional when under pressure
31. Motivated to self and others personal development
32. Works well with team-members being kind, considerate, reliable and enthusiastic
Experience
Essential
33. Minimum 12 months post registration experience
34. Experience of working in a health or social care setting
35. Experience in assessing patients with complex needs and making recommendations for care
36. Multidisciplinary and team working
37. Supervising and mentoring junior staff, students and other health care professionals
Desirable
38. Community/Lone working
39. Involvement in quality improvement projects
Knowledge
Essential
40. Demonstrates knowledge of NMC/HCPC, scope of professional practice and accountability
41. Demonstrates knowledge of relevant clinical skills for the role
42. Demonstrates knowledge of patient assessment and recognising the deteriorating patient
43. Demonstrates knowledge of community health and social care services
44. Demonstrates knowledge of national standards in relation to urgent community response, admission avoidance and frailty
45. Demonstrates knowledge of service effectiveness and clinical governance
46. Demonstrates awareness of audit and research and impact on practice
Other factors
Essential
47. Able to work early and late shifts over 7 days
48. Full and valid UK driving licence and access to vehicle for work purposes